Pathologie (Fach) / ORL (Lektion)
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Sialolithiasis
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Location: - Primarily in the submandibular gland (∼ 80% of cases)- Parotid gland (∼ 20% of cases)
Etiology: Dehydration or trauma
Clinical features: - Sudden, significant pain while eating- Partial swelling of the glands
Diagnostics:- Sonography- Sialography (rarely)- Possibly x-ray of the skull (particularly the base of mouth)
Complications: acute or chronic sialadenitis
Treatment: - Conservative: NSAIDs, gland massage, warm compresses, sour candies (to promote salivary flow).- Dilatation of the salivary duct or ultrasonic lithotripsy
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